Anaesthetic management of the hypotonic uterus
Authors:
P. Nosková 1,2; J. Bláha 1,2; R. Klozová 1,3; D. Seidlová 1,4; P. Štourač 1,5; A. Pařízek 6
Authors‘ workplace:
Sekce porodnické anestezie a analgezie ČSARIM
1; Klinika anesteziologie, resuscitace a intenzivni mediciny, 1. LF UK a VFN v Praze
2; Klinika anesteziologie a resuscitace, II. LF UK a FN Motol
3; II. anesteziologicko-resuscitační oddělení FN Brno
4; Klinika dětské anesteziologie a resuscitace, LF MU a FN Brno
5; Gynekologicko-porodnická klinika, 1. LF UK a VFN v Praze
6
Published in:
Anest. intenziv. Med., 26, 2015, č. 3, s. 145-149
Category:
Anaesthesiology - Review Article
Hypotonie/atonie děložní je nejčastější příčinou peripartálního život ohrožujícího krvácení. Cílem článku je podat informace o současných možnostech léčby této závažné komplikace. Podrobněji jsou rozebrány farmakologické vlastnosti uterotonik, jejichž nesprávné podání může paradoxně vést ke zhoršení kritického stavu. Současně je zdůrazněna nutnost mezioborové spolupráce při řešení hypotonie/atonie děložní.
Overview
Uterine hypotony/atony is the most common cause of life-threatening peripartum bleeding. The article presents information on the current treatment approaches for this serious complication. The pharmacological properties of the uterotonic agents are discussed in detail. Their incorrect administration may paradoxically lead to a deterioration in the critical condition. We also emphasize the need for concurrent interdisciplinary co-operation in the management of uterine hypotony/atony.
Keywords:
uterine atony – uterotonic agents – intrauterine balloon tamponade – surgical interventions – hysterectomy
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Anaesthesiology, Resuscitation and Inten Intensive Care Medicine Gynaecology and obstetrics HaematologyArticle was published in
Anaesthesiology and Intensive Care Medicine
2015 Issue 3
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